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Laboratories Inc. <br />Environmental Testing Laboratory Since 1949 <br />Chain of Custody and Cooler Receipt Form for 1717178 Page 2 of 2 <br />7&e results in this report apply to the samples analyzed in accordance with the chain of custody document. This analytical report must he reproduced in its entirety. <br />All results listed in this report are for the exclusive use of the submitting party. BC Laboratories, Inc. assumes no responsibility for report alteration, separation, detachment or third parry interpretation. <br />Report ID: 1000620761 4100 Atlas Court Bakersfield, CA 93308 (661) 327-4911 FAX (661) 327-1918 www.bclabs.com Page 4 of 12 <br />7M M17- <br />INFORMATIONU'M <br />li Fed Ex 0 UPS C3 Ontrac 0 Hand Delivery 0 11, <br />I BC Lab Field Service Ot Other ■ <br />Ice Chest 9 None 0 Box 0 <br />Other ■ (Specify) <br />YES 0 NO a <br />S <br />E7—: Ice (W Blue Ice 0 None 0 <br />Other 0 Comments: <br />a <br />e e <br />"1 oa - <br />o <br />None 60 Conunents: <br />j received? iNo ■ Yes 0 No ■ Descriptiontall match COC?a <br />COC Received <br />I <br />i W YES ■ NO <br />WRY: 6415 <br />Container. )AM Thermometer ID: 2-08 <br />rAW <br />.MA' <br />FrIPWI iSiYC!1� <br />7&e results in this report apply to the samples analyzed in accordance with the chain of custody document. This analytical report must he reproduced in its entirety. <br />All results listed in this report are for the exclusive use of the submitting party. BC Laboratories, Inc. assumes no responsibility for report alteration, separation, detachment or third parry interpretation. <br />Report ID: 1000620761 4100 Atlas Court Bakersfield, CA 93308 (661) 327-4911 FAX (661) 327-1918 www.bclabs.com Page 4 of 12 <br />